Dynamic biologic transformation of the periodontium: a clinical report

The technology of dynamic biologic transformation of the periodontium differs from orthodontic therapy in that the primary goal of dynamic biologic transformation of the periodontium is to reshape an abnormal periodontium. The goal of orthodontic treatment usually is the straightening of teeth in the orofacial complex. The new term dynamic biologic transformation of the periodontium has been coined to differentiate between a change in the periodontium that is secondary to straightening teeth through usual orthodontic methods to one that the primary goal is the rearrangement of the periodontium in which the tooth is merely used as a handle to pull the periodontium into the desired shape and location. The tooth or teeth that are moved in this process are often reshaped or put into abnormal positions to accomplish this goal. A review of the literature revealed that these changes in the periodontium can be used in various manners that will lessen surgical morbidity and maximize esthetics in conjunction with restorative and periodontal care. Combinations of dynamic biologic transformation of the periodontium and surgery were shown through clinical reports to illustrate this principle.